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General NPI Number Information
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NPI Number | 1962585778
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Entity Type | Organization
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Legal Business Name | ENHANCE, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 1636 WINDSOR CT 1636 WINDSOR COURT
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City | SEYMOUR
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State | IN
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Zip | 47274-1984
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Country | US
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Telephone | 812-524-2238
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Fax | 775-908-9421
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Provider Business Mailing Address
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Address Line | 1636 WINDSOR CT PO BOX 1252
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City | SEYMOUR
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State | IN
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Zip | 47274-1984
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Country | US
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Telephone | 812-524-2238
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Fax | 775-908-9421
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Authorized Official
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Title or Position | BEHAVIOR CONSULTANT
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Name | MR. JAMES MICHAEL SHEPHERD
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Credential | MASTERS OF SCIENCE
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Telephone | 812-524-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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